| NPI | 1679751473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERREN SHINAR PERRY-FABRIZIO Owner 301-317-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MD D059182) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2012-05-18 |